Elijah Wilder, D.O.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

20A22919 Issued in CA

Practice address

41877 Enterprise Cir N Ste 200
Temecula, CA 92590-5628

Phone

(909) 755-0585

Fax

(951) 228-9267

NPI assigned

Jun 15, 2012

Last updated

Sep 22, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in OH, IN, KY, TN, TX, FL6 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 6

Specialty

Psychiatry

Education

Philadelphia College of Osteopathic Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Activate CR, PLLCGroup PAC ID 5193255099, 10 clinicians

Community Mental Health Center Inc.Group PAC ID 1456330166, 42 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Elizabeth Dearborn Hospital Hospital, Lawrenceburg, IN, CCN 150086

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Activate CR, PLLC

  • Nephrology Physician
  • Frisco, TX
  • NPI 1063221851

  FL

  Medicare reassignment Care Compare group NPD
• Community Mental Health Center Inc

  dba INcompass Healthcare

  • Psychiatric Hospital
  • Lawrenceburg, IN
  • NPI 1588732747
  Medicare reassignment Care Compare group NPD
• Mindset Behavioral Health PC

  • Psychiatric/Mental Health Nurse Practitioner
  • Brownsburg, IN
  • NPI 1881431930
  Medicare reassignment NPD
• Newday Center

  • Substance Abuse Rehabilitation Facility
  • Bloomfield, IN
  • NPI 1700432341
  Medicare reassignment NPD
• Roadways to Recovery Inc.,

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bedford, IN
  • NPI 1740856483
  Medicare reassignment NPD
• State of Ohio Office of Budget and Management State Accounting

  dba Summit Behavioral Healthcare

  • Psychiatric Hospital
  • Cincinnati, OH
  • NPI 1023082716
  Medicare reassignment NPD
• Where We Began LLC

  dba Corydon IOP & Counseling Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Corydon, IN
  • NPI 1801510854
  Medicare reassignment
• State of Ohio Office of Budget and Management State Accounting

  dba Ohio Veterans Home

  • Nursing Facility/Intermediate Care Facility
  • Sandusky, OH
  • NPI 1790732576
  NPD
• Bayside Behavioral Health in LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Indianapolis, IN
  • NPI 1962240689
  NPD (past)
• Children's Hospital Medical Center

  dba Cincinnati Children's Hospital Medical Center

  • Pediatrics Physician
  • Cincinnati, OH
  • NPI 1609915784
  NPD (past)
• Landmark Recovery of Carmel LLC

  • Substance Abuse Rehabilitation Facility
  • Bluffton, IN
  • NPI 1033881826
  NPD (past)
• Landmark Recovery of Carmel LLC

  • Substance Abuse Rehabilitation Facility
  • Carmel, IN
  • NPI 1578121547
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Elizabeth Medical Center, Inc

  dba St Elizabeth Dearborn

  • General Acute Care Hospital
  • Lawrenceburg, IN
  • NPI 1326142498
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1083976971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636256",
            "address_2": "CENTRAL CREDENTIALING ML 806",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452636256",
            "telephone_number": "513-585-5508",
            "fax_number": "513-585-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41877 ENTERPRISE CIR N STE 200",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905628",
            "telephone_number": "909-755-0585",
            "fax_number": "951-228-9267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "370 Cumberland Way",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "TN",
            "postal_code": "371153170",
            "country_code": "US",
            "telephone_number": "770-502-5030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "234 Goodman St",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452192364",
            "country_code": "US",
            "telephone_number": "513-558-7700",
            "fax_number": "513-558-5055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3130 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452192399",
            "country_code": "US",
            "telephone_number": "513-584-8753",
            "fax_number": "513-558-5055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "260 Stetson St",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452192498",
            "country_code": "US",
            "telephone_number": "513-558-7700",
            "fax_number": "513-558-5505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "285 Bielby Rd",
            "address_purpose": "LOCATION",
            "city": "Lawrenceburg",
            "state": "IN",
            "postal_code": "470251055",
            "country_code": "US",
            "telephone_number": "812-537-1302",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3200 Burnet Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452293019",
            "country_code": "US",
            "telephone_number": "513-558-7700",
            "fax_number": "513-558-5055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3131 Harvey Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452293000",
            "country_code": "US",
            "telephone_number": "513-585-8227",
            "fax_number": "513-585-8278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILDER",
        "first_name": "ELIJAH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-15",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "02006180A",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "20A22919",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "34012700",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "04444",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitson Family Therapy, Apc
• Rochelle M. Whitson, LMFT
• Kenneth B Whitworth, D.D.S., M.D.
• Anna Wiesemeyer
• Taylor Wikel, CLINICIAN
• Grace Jerelyn Wiles
• Laura Marie Wiles
• Ryezeir Wilkins
• Karli Will, DDS
• Kara Jean Willbanks, MD

• Psychiatry Physician in Temecula, CA
• Providers in Temecula, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.